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The primary objective of this study was to assess whether a hospital-based antimicrobial stewardship team (H-AST) from an unaffiliated hospital could decrease inappropriate fluoroquinolone use at a local, long-term care facility (LTCF). The H-AST created a multi-faceted intervention campaign that included antibiogram development, provider and family education, and a telephone hotline. Pre- and post-intervention mean defined daily doses per 1000 resident days for antimicrobials were calculated to determine the impact of the campaign. The campaign resulted in a 38.70% decrease in ciprofloxacin utilization, a 16.20% decrease in total FQ consumption, and an 11.68% in total antibiotic consumption. In addition, during the study period the rate of Clostridium difficile infection decreased by 19.47%. Collaboration with a H-AST had a positive impact on antibiotic prescribing at this LTCF.


This article was originally published in Annals of Long-Term Care: Clinical Care and Aging. 2016;24(6):13-20. © 2016 HMP.

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